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1104580711
ERIC EUGENE SPOHN
PLYMOUTH, IN
NPI
1104580711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 71011771A)
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
ERIC EUGENE SPOHN
990 ILLINOIS ST
PLYMOUTH, IN 46563-3622
Phone number: 574-936-9646
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Mailing Address
ERIC EUGENE SPOHN
10176 HEATHER LAKE DR
OSCEOLA, IN 46561-8897
Phone number: 574-855-7789
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